作者
Hector Lantigua, Santiago Ortega-Gutierrez, J Michael Schmidt, Kiwon Lee, Neeraj Badjatia, Sachin Agarwal, Jan Claassen, E Sander Connolly, Stephan A Mayer
发表日期
2015/12
期刊
Critical care
卷号
19
页码范围
1-10
出版商
BioMed Central
简介
Introduction
Subarachnoid hemorrhage (SAH) is a devastating form of stroke. Causes and mechanisms of in-hospital death after SAH in the modern era of neurocritical care remain incompletely understood.
Methods
We studied 1200 consecutive SAH patients prospectively enrolled in the Columbia University SAH Outcomes Project between July 1996 and January 2009. Analysis was performed to identify predictors of in-hospital mortality.
Results
In-hospital mortality was 18 % (216/1200): 3 % for Hunt-Hess grade 1 or 2, 9 % for grade 3, 24 % for grade 4, and 71 % for grade 5. The most common adjudicated primary causes of death or neurological devastation leading to withdrawal of support were direct effects of the primary hemorrhage (55 %), aneurysm rebleeding (17 %), and medical complications (15 %). Among …
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H Lantigua, S Ortega-Gutierrez, JM Schmidt, K Lee… - Critical care, 2015